Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Silver Health Care PC

Silver Health Care PC was paid $5.70M by Medicaid between Jan 2018 and Dec 2024, across 114 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoSILVER HEALTH CARE PC
SILVER CITY, NM 88061
33aNPI1548291586assigned 07/06/2006
33bProvider typePediatrics Physician
28Total paid$5.70M
24GClaims141,388
24DCodes billed114
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New Mexico

Rank by total paid#8 of 53
Median peer was paid$535K
This provider vs. median11×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201820,791$695K
201921,983$897K
202013,100$612K
202117,615$756K
202221,628$1.02M
202329,754$974K
2024incomplete16,517$745K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44% 27,529 25,487 $2.49M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 23,519 22,207 $1.47M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.5% 3,137 3,122 $311K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5.1% 2,049 2,024 $291K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.7% 944 938 $154K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.7% 2,986 2,921 $95K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 2,719 2,681 $65K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.1% 903 894 $60K
80053 Comprehensive metabolic panel 1.0% 4,875 4,679 $59K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,176 2,157 $50K
99443 <1% 367 354 $44K
90472 Immunization administration, each additional vaccine (list separately) <1% 982 862 $36K
102 more codes
99215 Doctor's office visit, returning patient (complex) <1% 279 $35K
36415 Collection of venous blood by venipuncture <1% 8,834 $33K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,952 $32K
99177 <1% 905 $31K
80061 Lipid panel <1% 2,247 $30K
84443 Thyroid stimulating hormone (TSH) <1% 2,145 $29K
11721 <1% 1,441 $28K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,620 $27K
92587 <1% 1,060 $24K
S9999 Sales tax <1% 3,793 $23K
83036 Hemoglobin; glycosylated (A1C) <1% 2,325 $22K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 677 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 166 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 158 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 587 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 772 $14K
99051 <1% 1,518 $14K
0012A <1% 283 $11K
0011A <1% 340 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 100 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 97 $10K
90670 <1% 84 $10K
80050 General health panel <1% 157 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 258 $9K
90677 <1% 67 $8K
99072 <1% 230 $7K
84439 <1% 590 $6K
99441 <1% 85 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 77 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 95 $4K
0013A <1% 82 $4K
0071A <1% 79 $3K
85027 <1% 563 $3K
96127 <1% 800 $3K
90686 <1% 419 $3K
11730 <1% 54 $3K
90756 <1% 107 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 47 $2K
81003 <1% 1,651 $2K
99080 <1% 376 $2K
99173 <1% 65 $2K
83721 <1% 228 $2K
0072A <1% 38 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 137 $2K
84481 <1% 57 $1K
99490 Ccm add 20min <1% 157 $1K
90688 <1% 80 $1K
90697 <1% 19 $967.11
82607 <1% 50 $816.79
11732 <1% 42 $785.43
0003A <1% 15 $660.76
90680 <1% 21 $641.66
82746 <1% 34 $553.34
90473 <1% 17 $411.64
73630 <1% 17 $389.09
81025 <1% 45 $388.72
83655 <1% 28 $383.14
82728 <1% 30 $380.01
85610 <1% 160 $316.67
J1040 Injection, methylprednisolone acetate, 80 mg <1% 26 $310.61
90656 <1% 12 $284.42
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 26 $274.73
93000 <1% 15 $265.77
80048 Basic metabolic panel (calcium, ionized) <1% 27 $217.67
83540 <1% 32 $208.04
83550 <1% 17 $149.72
85651 <1% 30 $127.72
G0444 Annual depression screening, 5 to 15 minutes <1% 14 $112.44
85018 <1% 33 $91.02
82043 <1% 12 $77.25
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 108 $66.37
86140 <1% 13 $65.20
85007 <1% 13 $50.33
G0008 Administration of influenza virus vaccine <1% 27 $21.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) <1% 14 $20.00
J8540 Dexamethasone, oral, 0.25 mg <1% 31 $9.32
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 13 $7.46
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 26 $2.65
90685 <1% 16 $0.16
91300 <1% 46 $0.03
3075F 0% 1,051 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 132 $0.00
3074F 0% 6,689 $0.00
3079F 0% 2,813 $0.00
91301 0% 506 $0.00
3080F 0% 619 $0.00
4010F 0% 40 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 32 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 90 $0.00
91307 0% 137 $0.00
4050F 0% 13 $0.00
3078F 0% 5,188 $0.00
1160F 0% 4,924 $0.00
1159F 0% 4,914 $0.00
3077F 0% 497 $0.00
4004F 0% 191 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 298 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 69 $0.00
90672 0% 48 $0.00
90633 0% 13 $0.00
90710 0% 14 $0.00
90671 0% 13 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSKEE, JAMES (CEO)